Individual
TRACY FABRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1101 KALISTE SALOOM RD, LAFAYETTE, LA 70508-5705
(337) 988-5646
Mailing address
1103 KALISTE SALOOM RD, SUITE 304, LAFAYETTE, LA 70508-5783
(337) 988-5646
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209008053
IL
Other
Enumeration date
03/15/2010
Last updated
01/08/2014
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